vialroom

#tirzepatide 2025-01-11

Saturday27 messages4 participantstimes are UTC
Highlights from this day
  • noct.titrate — the trials titrated every four weeks to a target, most people here stop at whatever works 10:52
  • noct.titrate — i argued the sweet spot was nonsense and then spent 9 months at 7.5 not needing more 11:17
  • noct.titrate — whats the plateau pattern here, same as semaglutide or different 11:33
  • underfill_uma — went back to semaglutide after 7 months because the cost difference mattered more than the GI 12:44
  • mg_per_ml — the sweet spot argument is really about effect per side effect, not a magic number 13:12
NT

the trials titrated every four weeks to a target, most people here stop at whatever works

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance
⚠️1🙏5

is SURMOUNT-OSA the sleep apnoea one

NT

held 10 for 7 months and lost 29kg over that stretch, slow and boring and fine, take that with a pinch of salt

NT

i argued the sweet spot was nonsense and then spent 9 months at 7.5 not needing more

🧪16🎉3🤝1
NT

whats the plateau pattern here, same as semaglutide or different

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)

the two compounds arent interchangeable week for week even if the effect ends up similar

7.5 gang

💀2🎉5
NT

ok so is 7.5 really the sweet spot or is that just channel folklore

went back to semaglutide after 7 months because the cost difference mattered more than the GI

🙏13😂7🧪17
A1

is the sweet spot argument about effect or about side effects

licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does

NT

the switch felt like a step down at first and then caught up around week 19

MP

if youre coming off semaglutide the honest answer is start low and find out, theres no table

changed my mind about needing 15, i was chasing a number rather than an outcome

*Medutest not the other one

how many weeks at 7.5 before you knew it was enough

the GI difference held for me right up to 15, which isnt what a couple of people here found, anyway

the sweet spot argument is really about effect per side effect, not a magic number

👍8🧪7🎉2

i went to 15 and came back to 10, more suppression wasnt more useful for me

12 did nothing extra over 10 for me and that still holds a year later

MP

GI was noticeably easier for me than semaglutide at what felt like the same appetite effect

switched from 12 semaglutide and started at 2.5, took the slow route, never regretted it